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Biomedical subjects

A A Adogu

Publications and source records attributed to A A Adogu.

11 recordsLinked to original sources

Complement-induced Ca2+ influx in cultured fibroblasts is decreased by the calcium-channel antagonist nifedipine or by some bivalent inorganic cations.

The effects of different extracellular cations or organic Ca(2+)-channel modulators on complement-induced changes in intracellular Ca2+ and cell death have been investigated in the transfected NIH-3T3 HIR 3.5 cell line, which overexpresses the human insulin receptor. Cells were incubated with mouse anti-(human insulin receptor) monoclonal antibodies before exposure to rabbit or human serum (sources of heterologous complement). Changes in intracellular Ca2+ were complement-dependent (measured by influx of 45Ca), as was cytotoxicity (monitored by leakage of lactate dehydrogenase into the culture supernatant). Addition of a dihydropyridine Ca(2+)-channel antagonist (nifedipine) or some bivalent inorganic cations caused inhibition of 45Ca entry via a novel channel distinct from endogenous voltage-gated Ca2+ channels. Nifedipine decreased, but conversely the addition of a phenylalkylamine Ca(2+)-channel antagonist (verapamil) or the inorganic Ca2+ agonists Ba2+ and Sr+ increased, complement-induced cytotoxicity. These agents had no effect on cell viability at the studied concentrations, in the absence of complement. It is concluded that complement-induced cytotoxicity is mediated by Ca2+ influx through novel specific transmembrane channels which are sensitive to the Ca(2+)-channel antagonist nifedipine, but otherwise show little resemblance to L- or T-type voltage-gated Ca2+ channels.

3T3 Cells↗

Dissociation of KATP channel and sulphonylurea receptor in the rat clonal insulin-secreting cell line, CRI-D11.

It is generally considered that the sulphonylurea receptor is an integral part of the ATP-sensitive K+ channel. We have investigated this proposal by comparing the binding and functional characteristics of the sulphonylurea receptor and KATP channel by using two rat insulinoma cell lines (CRI-G1 and CRI-D11) of common origin. Insulin release was increased in both cell lines by a variety of metabolizable and non-metabolizable secretagogues but glibenclamide induced an increase in insulin release in G1 cells only. [3H]glibenclamide binding studies showed a substantial reduction in the number of glibenclamide binding sites (Bmax) in the D11 cells compared with G1 cells. Single-channel studies of these cell lines show that the KATP channel is generally unchanged in its biophysical properties and in the number of channels observed. Slight differences were apparent: the KATP channels in D11 cells were much less susceptible to rundown and were slightly less sensitive to block by ATP. However, one major distinction was the lack or much reduced sensitivity of the KATP channel in D11 cells to tolbutamide and glibenclamide. We conclude that the KATP channel can exist and function independently of the sulphonylurea receptor, and therefore it is unlikely that they exist as a single protein assembly.

1-Methyl-3-isobutylxanthine↗

Idiopathic peripheral gangrene in Nigeria.

A severe, acutely evolving peripheral gangrene of unknown etiology has been reported sporadically from different parts of Africa. This case report describes such a case of fulminant gangrene of the extremities following a febrile diarrheal illness associated with abdominal pain, polyarthropathy, and altered hemostatic function in a black adolescent male. A model of autoimmune causation for this uncommon clinical syndrome is proposed with guidelines for therapy.

Acute Disease↗

Bronchiolo-alveolar cell carcinoma with apparent response to chemotherapy to anti-tuberculosis.

This report describes a case of bronchiolo-alveolar cell carcinoma of the lungs presenting with severe respiratory distress and miliary shadowing on chest radiograms. The patient showed an apparent response to anti-tuberculous chemotherapy, which was probably related to the neuropsychiatric properties of isoniazid. The case illustrates that not all "miliary" chest radiograms in Africa are tuberculous and a chemotherapeutic trial is not always diagnostic in individual cases of tuberculosis.

Adenocarcinoma, Bronchiolo-Alveolar↗

Concurrent adenocarcinoma of the colon and chronic intestinal parasitoses: a case report.

A 25-year-old patient presented with recurrent bloody diarrhoea associated with intestinal parasitoses. Radiography and tissue histology confirmed the diagnosis of an annular colonic adenocarcinoma. The incidence and management of colonic malignancy in young Africans is discussed in the light of its described associationship with protozoal/helminthic parasitoses.

Adenocarcinoma↗

Hysterical paralysis as a complication of snake bite.

Until recently, hysteria was believed to be uncommon amongst the indigenous inhabitants of tropical Africa. Though snake bites are common, there has not been any previous report of hysterical manifestations following snake bite. We report a case of hysterical paralysis in a nulliparous Nigerian female, with comments on its diagnostic and prognostic implications in an ethnic community.

Adolescent↗

Primary hypothyroidism with secondary hypertension: a case report.

Both primary hypothyroidism and secondary hypertension are thought to be relatively uncommon in most parts of the tropics. A Nigerian hypothyroid patient with thyroxine-responsive hypertension is reported, and this syndrome (secondary hypothyroid hypertension) is examined with respect to its possible aetiopathogenesis.

Adult↗